Amantadine (symmetrel)-sendout at Smyth County Community Hospital

245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

$7.05

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$47.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.08 with SENTARA HEALTH vs $75.81 with AETNA — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
SENTARA HEALTH SENTARA HEALTH $13.08 ↑ +86%
MEDCOST MEDCOST VHN $16.45 ↑ +133%
CIGNA HEALTHCARE CIGNA HMO $18.24 ↑ +159%
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $18.24 ↑ +159%
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $20.12 ↑ +185%
CIGNA HEALTHCARE CIGNA PPO $22.70 ↑ +222%
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $32.90 ↑ +367%
AETNA AETNA $39.95 ↑ +467%
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $47.00 ↑ +567%
AMERIGROUP AMERIGROUP $47.00 ↑ +567%
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $47.00 ↑ +567%
BLUE CROSS TENNCARE BLUE CARE $47.00 ↑ +567%
BLUE CROSS TENNCARE BLUE SELECT $47.00 ↑ +567%
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $47.00 ↑ +567%
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $72.89 ↑ +934%
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $72.89 ↑ +934%
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $75.81 ↑ +975%
AETNA AETNA BETTER HEALTH OF VIRGINIA $75.81 ↑ +975%

Visitor-reported prices

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Amantadine (symmetrel)-sendout at other Virginia hospitals

Hospital City Cash price Negotiated range
Sentara Martha Jefferson Hospital Charlottesville not published $0.03 – $26.59
Sentara Northern Virginia Medical Center Woodbridge not published $13.30 – $75.12
Sentara Halifax Regional Hospital South Boston not published $26.59 – $26.59
RESTON HOSPITAL CENTER VIENNA not published $92.41 – $92.41
STONESPRINGS HOSPITAL CENTER Dulles not published $92.41 – $92.41
Sentara Leigh Hospital Norfolk not published $26.59 – $26.59
Sentara CarePlex Hospital Hampton not published $26.59 – $26.59
Sentara Norfolk General Hospital Norfolk not published $26.59 – $26.59

All Virginia hospitals for this procedure →